Organization
UNIVERSITY OF CALIFORNIA, SAN DIEGO
Active
Other names
Crest Community Program
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SAMIT (AUTHORIZED OFFICIAL)
(858) 822-3474
Entity
Organization
Contact information
Practice address
140 ARBOR DR, SAN DIEGO, CA 92103-2007
(619) 543-6904
Mailing address
9500 GILMAN DR, MC 0602, LA JOLLA, CA 92093-0602
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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